DEPARTMENT OF INSURANCE

Name	Michelsen, Robin Mark	DOIID	733408	NAIC NPN	1179717

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	12/10/2020		10/31/2027
Active	Non Resident	Agent	Property	9/13/2019		10/31/2027
Active	Non Resident	Agent	Casualty	9/13/2019		10/31/2027
Inactive	Non Resident	Agent	Personal Lines	7/29/2010	10/31/2013
Inactive	Non Resident	Agent	Health	7/29/2010	10/31/2013
Inactive	Non Resident	Agent	Life	7/29/2010	10/31/2013
Active	Non Resident	Managing General Agent	Not Applicable	12/10/2020		10/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/19/2021		10/31/2027

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	6836 Dallas Pkwy Ste 100 Plano, TX 750243598
Residence	Not Public Information

Internet Information

Type	Address
Business Email	rmichelsen@cpiai.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(936) 755-7731